Organization
LIFESPAN PHYSICIAN GROUP, INC.
Active
Other names
BROWN HEALTH MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE RAWNSLEY (VP REVENUE CYCLE)
(401) 444-6905
Entity
Organization
Contact information
Practice address
593 EDDY ST, CLAVERICK 2, PROVIDENCE, RI 02903
(401) 444-4000
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
—
207PS0010X
Sports Medicine (Emergency Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
12/05/2025
Last updated
04/07/2026
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